ABSTRACT
OBJECTIVE: To highlight the need for the organization and development of pediatric medical transport systems in Spain. METHODS: Analysis of the different types of pediatric medical transport, with a brief historical introduction and theoretical-practical discussion of the different types of transport team, their human and material resources and systematic organization. RESULTS AND CONCLUSIONS: The retrospective experience of a state medical emergency team is reported. The need for multidisciplinary coordination among pediatricians, critical care pediatricians, neonatologists, emergency physicians and nurses is identified as crucial in order to optimize resources and achieve the proposed objectives.
Subject(s)
Critical Care , Transportation of Patients , Adolescent , Child , Child, Preschool , Critical Illness , Humans , Infant , Infant, Newborn , Spain , Transportation of Patients/organization & administrationABSTRACT
Objetivo: Significar la necesidad de estructuración y desarrollo de sistemas de transporte pediátrico medicalizado en España. Métodos: Se han analizado los diferentes tipos de transporte pediátrico medicalizado, con una breve introducción histórica y posterior desarrollo teórico-práctico de las diferentes modalidades de equipo de transporte posibles, dotación de recursos humanos y materiales en éstos y su sistematización. Resultados y conclusiones: Se aporta la experiencia retrospectiva de un equipo de emergencias médicas estatal y basándose en ella, la necesidad de la coordinación multidisciplinaria (pediatras, intensivistas pediátricos, neonatólogos, médicos de urgencias y enfermería), para lograr una optimización de recursos, para la consecución de los objetivos propuestos (AU)
Subject(s)
Child, Preschool , Child , Adolescent , Infant , Infant, Newborn , Humans , Transportation of Patients , Critical Care , Spain , Critical Illness , Nutritional SupportABSTRACT
Coronary sinus thrombosis is an unusual but potentially serious complication of the use of central venous devices. We report a fatal case of coronary sinus thrombosis in relation to a malpositioned central venous catheter. The death occurred very soon following the beginning of symptoms and the cause could not be suspected. Direct trauma of the catheter on the coronary sinus endothelium seems the most probable cause of the thrombosis.
Subject(s)
Catheterization, Central Venous/adverse effects , Coronary Thrombosis/etiology , Death, Sudden, Cardiac/etiology , Cardiac Tamponade/etiology , Cause of Death , Child , Coronary Thrombosis/diagnosis , Forensic Medicine , Humans , MaleSubject(s)
Candidiasis, Cutaneous/congenital , Candidiasis, Vulvovaginal , Pregnancy Complications, Infectious , Administration, Topical , Adult , Antifungal Agents/administration & dosage , Candidiasis, Cutaneous/drug therapy , Female , Follow-Up Studies , Humans , Infant, Newborn , Male , Miconazole/administration & dosage , Pregnancy , Time FactorsABSTRACT
A 15-day-old girl was found to have generalized gastrointestinal polyposis resulting from Peutz-Jeghers syndrome. Her manifestations included abdominal distention, hematemesis, bloody diarrhea, and edema. She died at 1 year of age of multiple complications of her disease.
